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CMS publishes 2nd Quarter ASP for Part B Covered Drugs

On March 16 and 17, 2009, CMS released files containing the payment amounts for Part B covered drugs for the second quarter of 2009. The payment amounts are 106% of the Average Sales Price (ASP) calculated from data submitted by drug manufacturers. The ASP is reviewed quarterly and a new table of payment allowance limits is published. Although the changes are small, practices need to be aware of them. The following drugs are watched closely by many ophthalmic practices. Rounded dollar amounts are per unit.

Drug – BoTox 1 unit (J0585)

1st Quarter – $5.47

2nd Quarter – $5.52

Drug – Triamcinolone, Preservative-Free 1mg (J3300)

1st Quarter – $3.24

2nd Quarter – $3.23

Drug – Ranibizumab, 0.1mg (J2778)

1st Quarter – $406.56

2nd Quarter – $407.19

The complete listing of reimbursement rates can be found at:
http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/

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